Individual
NICOLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39 WEAVER ST, ROCHESTER, NY 14621-3420
(407) 879-6258
Mailing address
39 WEAVER ST, ROCHESTER, NY 14621-3420
(407) 879-6258
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9459918
FL
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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